PRETERM LABOR CONDITIONS OF WOMEN WITH HIGH-RISK PREGNANCY AND RELATED FACTORS: A RETROSPECTIVE COHORT STUDY/YUKSEK RISKLI GEBELIKLERDE ERKEN DOGUM VE ILGILI FAKTORLER: RETROSPEKTIF KOHORT CALISMASI

Objective: High-risk pregnancy is a situation associated with pregnancy involving a real or potential risk for the health and well-being of the mother and the fetus. Our study aimed to examine the preterm labor conditions of pregnant women followed up at a high-risk pregnancy outpatient clinic and related factors. Material and Methods: Designed as a retrospective cohort study, the study was carried out with the participation of 293 pregnant women who presented to a high-risk pregnancy outpatient clinic in the Batman province of Turkiye and were followed up between March 2017 and January 2019. Results: The top three high-risk conditions determined in the pregnant women were pregnancy over the age of 35 (n=83, 28.3%), pregnancy in a shorter interval than two years (n=71, 24.2%) and consanguineous marriage (n=60, 20.5%), respectively. Twentypointone percent (n=59) of the pregnant women had preterm labor. It was determined that the rates of caesarean section births and births at a private hospital among the pregnant women who had preterm labor were significantly higher in comparison to the pregnant women who gave birth at term (p=0.001, p=0.037, respectively). It was determined that the risk of preterm labor increased OR=5.6 (1.2-25.6) times in the pregnant women with anemia, OR=12.5 (1.3-122.7) times in those with intrauterine fertilization and OR=32.6 (3.2-332.5) times in those with multiple pregnancies. Conclusion: Anemia, multiple pregnancy and intrauterine fertilization increase the risk of preterm labor. Quality prenatal care services are important in terms of protecting the health of the mother and the newborn. Keywords: Preterm birth, risk factors, anemia, multiple pregnancy, intrauterine fertilization Amac: Riskli gebelik annenin ve fetusun sagligi veya iyiligi icin gercek veya potansiyel bir tehlikeye sahip hamilelikle iliskili bir durumdur. Calismamizda riskli gebelik polikliniginde takibi yapilan gebelerin preterm eylem durumu ve iliskili faktorlerin incelenmesi amaclanmistir. Gerec ve Yontem: Retrospektif kohort olarak tasarlanan bu calisma Batman ilinde (Turkiye) riskli gebe poliklinigine basvuran Mart 2017- Ocak 2019 tarihleri arasinda takibi yapilan 293 gebe ile gerceklestirilmistir. Bulgular: Gebelerde tespit edilen ilk uc risk durumu sirasiyla 35 yas uzeri gebelik (n=83, %28,3), iki yildan kisa aralikli gebelik (n=71, %24,2), akraba evliligi (n=60, %20,5) seklindedir. Riskli gebelerin %20,1'inde (n=59) preterm eylem gerceklesmistir. Preterm e